Pilonoidal Sinus Disease and Surgical Treatment in Childhood

Year 2022, Volume: 19 Issue: 1, 52 - 55, 28.04.2022

Osman Hakan Kocaman , Tansel Günendi

https://doi.org/10.35440/hutfd.1092909

Abstract

Background: Pilonidal sinus disease (PSD) is an inflammatory condition that mostly affects young people and adults, with a higher incidence in males. Many conservative and surgical methods have been described for the treatment of PSD, but there is still no method accepted as the ideal treatment, and most importantly, no treatment method can eliminate the risk of recurrence of the disease.
Materials and methods: The files of 49 patients who were operated on for PSD in our clinic between June 2016 and November 2021 were reviewed retrospectively. The patients were divided into 2 groups who were operated with the Karydakis flap (KF) method and Excision of the sinus with primary closure (EPC) method.
Results: While the CF group returned to normal life in an average of 7.52 days, the EPK group was able to return in 11.53 days. Complications developed in 2 (8.7%) patients in the KF group, whereas 5 (19.2%) patients had complications in the EPC group. There was no statistically significant difference.
Conclusion: Both the KF method and the EPC method are acceptable and safe in the treatment of PSD, but our study showed that the KF method is more effective.

Keywords

Pilonidal sinus, Karydakis flap, Excision+primary closure, Child

Çocukluk Çağı Pilonidal Sinüs Hastalığı ve Cerrahi Tedavisi

Abstract

Amaç: Pilonidal sinüs hastalığı (PSH), çoğunlukla gençleri ve genç erişkinleri etkileyen, erkek cinsiyette daha yüksek insidans ile görülen inflamatuar bir hastalıktır. PSH tedavisi için birçok konservatif ve cerrahi yöntem tanımlanmıştır ancak halen ideal tedavi olarak kabul edilen bir yöntem yoktur ve en önemlisi hiçbir tedavi yöntemi hastalığın tekrarlama riskini ortadan kaldıramamaktadır
Materyal ve metod: Haziran 2016 ile kasım 2021 tarihleri arasında kliniğimizde PSH nedeniyle ameliyat edilen 49 hastanın dosyası retrospektif olarak incelendi. Hastalar Karydakis flep (KF) yöntemi ve eksizyon+primer kapatma (EPK) yöntemiyle ameliyat edilen hastalar olmak üzere 2 gruba ayrıldı.
Bulgular: KF grubu normal hayata ortalama 7.52 günde dönerken EPK grubu 11.53 günde dönebildi. KF grubunda hastaların 2 (%8.7)sinde komplikasyon gelişirken, EPK grubunda 5 (%19.2) hastada komplikasyon gelişti, istatistiki olarak anlamlı fark saptanmadı.
Sonuç: PSH tedavisinde hem KF yöntemi hem de EPK yöntemi kabul edilebilir ve güvenlidir, ancak bizim çalışmamızda KF yönteminin daha etkili olduğunu göstermiştir.

Keywords

Pilonidal sinüs, Karydakis flep, Eksizyon+primer kapatma, Çocuk

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